Bleeding Elbow Wins Olympic PEARLS

Let them flex their elbows immediately

From plaster to cross-joint Steinmann pins to hinged ex-fix, we have tried out everything, but the terrible triad of elbow still seems terrible. Duh! Not only for the patients but also for surgeons. We relocate, but some always tend to dislocate.

We then fail in maintaining a balance of mobilization vs protection. If such balance is an art, not all of us are Picassos at it.

Skeletal dynamics have innovated a joint stabilization system to make our lives easier. They seem to be inspired by the steam-punk designs and pulled one out of their hats. Behold the IJS-E - Internal Joint Stabiliser of the Elbow. This ‘Internal’ hinged exfix protects the repair and allows immediate ROM of the joint.

It is promising. Check out the results of this multicentre trial. After all, any Frankenstein fan would want this in their elbow.

Let them flex their elbows immediately….

‘Cometh the Olympics, Cometh the man’

We have amongst us the world’s best speed skater with 15 world records and a track and road cyclist who was the winner of the U.S Professional Cycling Championship inducted into the United States Bicycling Hall of Fame.

Ok, guys, we are not speaking about two different Orthopaedicians.

You read it right. We are speaking about Dr. Eric Arthur Heiden of Heiden Orthopedics.

Have a mind to believe in whatever you read in the next few lines.

Heiden was a young skating prodigy. He won 2 junior world championships followed by 7 world championships in skating. He was the Hero of the 1980 Winter Olympics, having been in the third position behind the Soviet Union, and East Germany in the total gold medal tally. He is the only person to date to win four consecutive “Skating Oscars” or the Oscar Mathisen Award. He was inducted into the US Olympic Hall of Fame. After a sprint in his skating carrier, Heiden took up professional track and road cycling. He was the first U.S Professional Cycling Champion.

He went on to get a medical school degree at Stanford University, did his Orthopaedic residency at the University of California, and did Sports Medicine training in Birmingham, Alabama. He served as the sports physician for US Olympics skating team for 4 consecutive years apart from serving various other teams including those in NBA. He is currently a practicing Knee and Shoulder surgeon at Heiden Orthopedics.

In his honor-clad life, Heiden has been a master of all trades. But what he considers as his life work is his service as Orthopedician.

Many claim “sports medicine” to be their specialty. Does anyone else embody the term like Dr. Heiden does?

Golden (Hour in) TXA injections

Trauma stands tall, next only to AIDS as the common cause of death among 4-45-year olds. Golden hour management principles in trauma are definitely worthier than raw gold. Roberts et al. in the CRASH-2 trial among 20K trauma victims tried to interpret the golden hour for Tranexamic Acid (TXA) administration.

TXA given within 1 hour of trauma reduced the risk of death due to bleeding by 32%. When given between 1-3 hours the risk protection is reduced to 21%. When given beyond 3 hours the risk of death is raised by 44%.

Golden hour in TXA injections = <3 hours

Give it ASAP guys.

How to win hip and knee replacements?

Satisfy the patient - As simple as that ????????

Hamilton et al. in their study analyzed 4709 patients over 4 years to identify the determinants of patient satisfaction. Top three are ????

1.       Meeting preoperative expectations

2.       Satisfactory pain relief

3.       Patients subjective hospital experience

We are damn sure you are working on the first two points. Make sure you work on the third one too.

Give him a cozy stay…

Operative Pearls ???????????? - “Blended view” technique for Subscap repair

Do you have problems accessing the subscapularis footprint during arthroscopic repair?

Tried switching between 30 and 70 deg scopes?

We know it is still difficult. Try an accessory subacromial anterolateral portal.

Read more about the Blended view technique by Bell et al. Check the video of the technique here.

Check these hotlinks out! The pandemic offers you the luxury at your doorsteps!.

1. OASISTNOACON goes hybrid now. Stay home. Stay updated.

2. ISAKOS Congress 2021 goes virtual - enjoy the unique “pay what you can afford” offer with 30 days full access policy.

3. IFASCON 2021 - For foot n ankle lovers - At your palms guys.

4. OTA conference 2021 - Fort Worth, Texas, USA

5. AAOS annual meet - San Diego, California, USA - Hope you guys have already registered.

Do you feel transfusing stored blood is as good as the fresh ones?

Well if you need our answers, wait till 8 AM of the first Sunday of September.